Occupational Therapist Test Intervention Planning 2 — Questions and Answers
Question 1: A client with a traumatic brain injury struggles with meal preparation due to poor sequencing. Which intervention approach is MOST appropriate?
- Compensatory strategy using a written step-by-step checklist (Correct answer)
- Strengthening exercises for upper extremity function
- Sensory integration therapy to improve tactile processing
- Social skills training to improve kitchen interactions
Correct answer: Compensatory strategy using a written step-by-step checklist
A written checklist is a compensatory cognitive strategy that directly addresses sequencing deficits in functional tasks like meal preparation.
Question 2: When setting intervention goals with a pediatric client, the MOST important consideration is:
- The therapist's clinical expertise and preferred treatment approach
- Family priorities and the child's participation in meaningful activities (Correct answer)
- Insurance coverage limitations and visit frequency
- Standardized norms for the child's age group
Correct answer: Family priorities and the child's participation in meaningful activities
Family-centered practice prioritizes the family's values and the child's participation in meaningful occupations when establishing intervention goals.
Question 3: An OT is working with an elderly client who has low vision. Which environmental modification would BEST support independence in medication management?
- Relocating all medications to a single room
- Using large-print labels and a pill organizer with tactile markers (Correct answer)
- Referring the client to a physician to simplify the medication regimen
- Teaching the caregiver to administer all medications
Correct answer: Using large-print labels and a pill organizer with tactile markers
Large-print labels and tactile markers on a pill organizer are evidence-based environmental adaptations that promote independence for clients with low vision.
Question 4: Which frame of reference guides intervention for a client with chronic pain using activity pacing and energy conservation?
- Biomechanical frame of reference
- Cognitive-behavioral frame of reference (Correct answer)
- Neurodevelopmental treatment (NDT)
- Psychodynamic frame of reference
Correct answer: Cognitive-behavioral frame of reference
Activity pacing and energy conservation techniques align with the cognitive-behavioral frame of reference, which addresses thoughts, behaviors, and functional performance.
Question 5: A client post-stroke has hemiplegia and wants to return to driving. The FIRST step in intervention planning should be:
- Schedule a behind-the-wheel evaluation immediately
- Complete a comprehensive driving evaluation including cognitive and visual screening (Correct answer)
- Recommend adaptive driving equipment without further assessment
- Advise the client that driving is no longer a realistic goal
Correct answer: Complete a comprehensive driving evaluation including cognitive and visual screening
A comprehensive evaluation of cognitive, visual, and motor skills must precede any driving intervention or behind-the-wheel testing after stroke.
Question 6: When using a task-oriented approach with a client who has motor deficits, therapy activities should be:
- Isolated muscle strengthening exercises performed in a clinic setting
- Meaningful functional tasks performed in the natural environment (Correct answer)
- Passive range of motion administered by the therapist
- Neuromuscular electrical stimulation applied to affected limbs
Correct answer: Meaningful functional tasks performed in the natural environment
The task-oriented approach emphasizes practicing meaningful functional tasks in natural contexts to promote motor learning and occupational performance.
Question 7: An OT is planning intervention for a client with depression who is socially isolated. Which intervention is MOST consistent with occupational therapy's scope of practice?
- Prescribing antidepressant medication adjustments
- Facilitating engagement in a community gardening group (Correct answer)
- Providing psychotherapy and cognitive restructuring
- Conducting psychiatric diagnostic testing
Correct answer: Facilitating engagement in a community gardening group
Facilitating engagement in meaningful group occupations like community gardening addresses social participation and occupational balance within OT's scope.
Occupational Therapist Test Intervention Planning 2
A client with a traumatic brain injury struggles with meal preparation due to poor sequencing.
Which intervention approach is MOST appropriate?